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HomeMy WebLinkAboutPermit Electrical 1994-8-4 (2) ! . . SPAINGFIELo :;:.---.--- - The, following project as submitted has the followln zoning, and does not require specilic lend use 225 PIITO STREET approval. 'D,/} ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zonlno v 'v 0 INSPECTION REQUEST: 77&-.;3769 )(4.J. -Cju City Job Number "t L{ J ?l J / OFFICE: 726-3759 - ~ I Authortzed Signature () ~ 1. LOCA;rION OF INSTALLATION 4-'1~)( f-"(1).<';l.J'-11M' A. LEG~ DESCRIPTION I 'it 0 {.. ()4 ?J/1 () 7 [}f TYl . . JpB DESCRIPTION ., / -t~A9-P/1I Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork, is suspended ror 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address / / Ci ty lnone Supervisor License~umber / E. . D / xpHa non ate / Constr Con~r, Number / EXPiraty6n Date Si~~re of Supervising Electrician Ovners Name ~1W'v ~M.j ~-05 D. Address)fJ/O ~~ Clil.vfY , City 6N'3Wf~t Phone qA-i ~ f~2- OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. . Owners Signat~ren . _ -:Jmg/~~ --------------------------------------- DATE: l(.L/.9L/ RECEIPT jI: I \,J 7A ',I RECEIVED BY: (Lu.~ n COMPLETE FEE SCHEDULE BELOV Nev Residential-Single or Multi-Family per dvelling Service Included: Items , 1000 sq.ft, or less Each additional 500 sq, ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only uni t. Cost Sum $ 85.00 $ 15,00 $ 40,00 $ 50.00 $ 60,00 $100,00 $130,00 $300,00 $ 40,00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 LfD.6/) $ 55,00 $ 80.00 see "B" above Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightinf Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35,00 $ 2,00 not included) $ $ $ $ 36,00 LlO,6D 1,...6i) 1 ,7-0 l.j "? ') D 40,00 40,00 20.00 ~